Individual provider Active NPI

Thessamar Moncrieffe, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tavares, FL
National Provider Identifier
1740829308
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11023196 Issued in FL
Practice address
1840 Classique LN
Tavares, FL 32778-5748
Phone
(239) 356-3309
NPI assigned
Dec 31, 2019
Last updated
May 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11023196 FL Primary

Addresses

Primary practice location

1840 Classique LN
Tavares, FL 32778-5748

Mailing address

1840 Classique LN
Tavares, FL 32778-5748
Phone (239) 356-3309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230713002431 FL Practitioner - Nurse Practitioner 2961862636

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

250 Corporate Ctr Court
Stockbridge, GA 30281

250 Corporate Ctr CT
Stockbridge, GA 30281-6388

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11023196FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mending Minds LLC Single Specialty Current Accepting new patients
Personal Recovery Network LLC Single Specialty CurrentSince Jul 10, 2023 Accepting new patients

Locations

260 Lookout Pl
Ste 202
Maitland, FL 32751
Phone (407) 537-9450

10125 W Colonial Dr
Ste 212
Ocoee, FL 34761
Phone (407) 753-7441

6735 Conroy Rd
Ste 221
Orlando, FL 32835
Phone (407) 537-9454

1840 Classique Ln
Tavares, FL 32778
Phone (352) 508-5046

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.thessamarmoncrieffe@141363.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1577750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1740829308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 CLASSIQUE LN",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785748",
            "telephone_number": "239-356-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 CLASSIQUE LN",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327785748",
            "telephone_number": "239-356-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCRIEFFE",
        "first_name": "THESSAMAR",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-31",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11023196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tavares, FL

Sources for this page

Verify at the official NPI Registry.